66C-24567-43309

2 vaccinations 11 coded responses 25 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 076 / NJ
Registered: 2021-03-23

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-23
Registered in v-safe
2021-03-23
Dose 1 — Pfizer-BioNTech
2021-03-23
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-28
Survey response — days 1–6 daily, dose 1
MedDRA: Anxiety, Pre-existing disease — Feeling: Fair · Headache

Free text: I have anxiety disorder and feel it has been a bit worse since Ive gotten the shot BUT there is no way to correlate thats whats causing it but I did want to mention that.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-30
Survey response — day 7, dose 1
MedDRA: Anxiety, Pre-existing disease — Feeling: Fair · Fatigue or tiredness

Free text: Anxiety still increased level since shot but once again hard to say its because of the shot but I definitely have noticed increased anxiety since.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — day 14, dose 1
MedDRA: Pre-existing disease, Tinnitus — Feeling: Fair

Free text: I have had tinnitus for years now. It is something I live with and can block out usually. I have noticed over the last few days my tinnitus is much worse and very noticeable - in both ears. It is very bothersome and hasnt gotten better.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Dose 2 — Pfizer-BioNTech
2021-04-10
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Derealisation, Dizziness, Feeling abnormal, Influenza like illness, Pain, Pre-existing disease, Pyrexia, Tinnitus — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My symptoms of fever, extreme body aches, and feeling very flu-like didnt resolve until early this morning but when I woke up today I felt so much better. I still have dizziness/derealization; my tinnitus is much worse than usual; brain fog;

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Anxiety, Pre-existing disease, Tinnitus — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: My anxiety has increased again, similar to after the first shot; my tinnitus is still worse as well; my muscle aches are NOTHING like they were the first 36ish hours after the shot but Im still sore.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Tinnitus — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Tinnitus still worse; have experienced some dizziness as well

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Malaise, Tinnitus — Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Tinnitus is even worse; general malaise; dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Menstruation delayed, Ovulation delayed, Tinnitus — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Tinnitus still not great; my menstrual cycle is also 5 days later than usual (and theres no chance Im pregnant). I got my first shot during my cycle and my ovulation was delayed and now my period is delayed too- this is unusual for me; still experiencing dizziness as well.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — day 7, dose 2
MedDRA: Dizziness, Menstruation irregular, Pain in extremity, Sleep disorder, Tinnitus — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: I notice when I sleep on the side I got my shot, my arm is still a bit sore but nothing truly noticeable; tinnitus is still very bad; still experiencing dizziness; menstrual cycle still hasnt started yet which is unusual for me.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-02
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-08
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-17
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-22
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-10
Survey response — 3 months, dose 2
MedDRA: Bundle branch block right, Condition aggravated, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: My costochondritis has been worse. I had an EKG done and the cardiologist said I have incomplete right branch bundle block. I have never been told I had this before. It could have always been there but this is the first time Ive been told about it

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-10
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-19
Call 1 — Left Voicemail
2021-10-09
Survey response — 6 months, dose 2
MedDRA: Anaemia, Emergency care, Haemoperitoneum, In vitro fertilisation, Laparoscopic surgery, Ovarian cyst ruptured, Ovarian cystectomy — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Anemia; I had a major hemoperitoneum (2L) after a ruptured ovarian cyst following IVF egg retrieval. I had to have emergency laparoscopic surgery to evacuate the blood and do cystectomy; required two blood transfusions.

MedDRA releases: 2024-11 · check-in free text available
2021-10-09
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2021-10-12
Call 1 — Could Not Reach Participant
2021-10-15
Call successful
Participant prefers to complete VAERS report online
2022-04-12
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-23	Pfizer-BioNTech
2	2021-04-10	Pfizer-BioNTech

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-28

Systemic reaction (other): I have anxiety disorder and feel it has been a bit worse since Ive gotten the shot BUT there is no way to correlate thats whats causing it but I did want to mention that.

Release 6 — day 7, dose 1

2021-03-30

Systemic reaction (other): Anxiety still increased level since shot but once again hard to say its because of the shot but I definitely have noticed increased anxiety since.

Release 7 — day 14, dose 1

2021-04-06

Symptoms: I have had tinnitus for years now. It is something I live with and can block out usually. I have noticed over the last few days my tinnitus is much worse and very noticeable - in both ears. It is very bothersome and hasnt gotten better.

Release 7 — days 1–6 daily, dose 2

2021-04-12

Systemic reaction (other): My symptoms of fever, extreme body aches, and feeling very flu-like didnt resolve until early this morning but when I woke up today I felt so much better. I still have dizziness/derealization; my tinnitus is much worse than usual; brain fog;

2021-04-13

Systemic reaction (other): My anxiety has increased again, similar to after the first shot; my tinnitus is still worse as well; my muscle aches are NOTHING like they were the first 36ish hours after the shot but Im still sore.

2021-04-14

Systemic reaction (other): Tinnitus still worse; have experienced some dizziness as well

2021-04-15

Systemic reaction (other): Tinnitus is even worse; general malaise; dizziness

2021-04-16

Systemic reaction (other): Tinnitus still not great; my menstrual cycle is also 5 days later than usual (and theres no chance Im pregnant). I got my first shot during my cycle and my ovulation was delayed and now my period is delayed too- this is unusual for me; still experiencing dizziness as well.

Release 7 — day 7, dose 2

2021-04-17

Systemic reaction (other): I notice when I sleep on the side I got my shot, my arm is still a bit sore but nothing truly noticeable; tinnitus is still very bad; still experiencing dizziness; menstrual cycle still hasnt started yet which is unusual for me.

Release 9 — 3 months, dose 2

2021-07-10

Symptoms: My costochondritis has been worse. I had an EKG done and the cardiologist said I have incomplete right branch bundle block. I have never been told I had this before. It could have always been there but this is the first time Ive been told about it

Release 10 — 6 months, dose 2

2021-10-09

Symptoms: Anemia; I had a major hemoperitoneum (2L) after a ruptured ovarian cyst following IVF egg retrieval. I had to have emergency laparoscopic surgery to evacuate the blood and do cystectomy; required two blood transfusions.

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

Field	Preferred term	2021-09	2023-04	2024-11
SD	Anaemia	·	·	✓
SD	Bundle branch block right	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Emergency care	·	·	✓
SD	Haemoperitoneum	·	·	✓
SD	In vitro fertilisation	·	·	✓
SD	Laparoscopic surgery	·	·	✓
SD	Ovarian cyst ruptured	·	·	✓
SD	Ovarian cystectomy	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Tinnitus	✓	✓	✓
SRO	Anxiety	✓	✓	✓
SRO	Derealisation	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Influenza like illness	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Menstruation delayed	✓	✓	✓
SRO	Menstruation irregular	✓	✓	✓
SRO	Ovulation delayed	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

✓ active code · ○ coded but marked inactive · blank = not in that release